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2021 Individual & Family Marketplace Plans

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2021 Marketplace Open Enrollment Is Here

Open Enrollment for 2021 Marketplace plans is November 1 – December 15, 2020. We’re here to help you with your decision or answer any questions you have. Call 1-866-522-2515 (Mon. – Fri., 8 a.m. – 5 p.m. CT).

Individuals and Family PlansHealth PlansIndividual & Family Marketplace Plans

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New plans for 2021 are available in these counties: Bell, Brazos, Burnet, Collin, Coryell, Dallas, Ellis, Lampasas, Llano, McLennan, Milam, Rockwall, San Saba, Travis, Washington and Williamson.*

You’ll have access to more than 21,000 in-network doctors and the renowned Baylor Scott & White Health system. Other physicians and providers are also available in our networks.

  • Click here to enroll now or get a quote through our Direct Enrollment Portal
  • • Here you can compare plans, get a quote, or enroll—all through our convenient online portal
  • Click here to view more information about the plans

*If you don’t live in one of the counties listed above, or if you’d prefer to see additional options, click here.

 

Have questions or need assistance finding a plan? Call us today at 866-522-2515 or click on the buttons below for more information.

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    Gold Plans - Lowest Out-of-Pocket Costs

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Are you are looking for a health plan with no or low deductibles and/or copays? Then our Marketplace Gold Plans are for you.

For benefit comparisons, formulary information, and plan document details, click here. Or, call us at 866-522-2515 to learn more.

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    Silver Plans - Cost-Sharing Options

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With our Marketplace Silver Plans, you will pay lower premiums than our Gold Plans. Your deductible may be as low as $0, and your copayments for doctor visits or medications may be as low as $5.

The costs and benefit levels of our Marketplace Silver Plans all depend on your income and how that compares to the Federal Poverty Level (FPL). If you qualify for one of our lower cost-sharing Silver Plans, you will have lower copays, deductibles, and further assistance through tax credits.

To see if you qualify for a subsidy, try this subsidy calculator.

For benefit comparisons, formulary information, and plan document details, click here. Or, call us at 866-522-2515 to learn more.

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    Bronze Plans - Lowest Monthly Premium Option

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These are our most affordable Marketplace plans. With a Bronze Plan, you will pay lower premiums with slightly higher out-of-pocket costs.

Do you just want to be protected if the unexpected happens without paying large monthly premiums? Our Marketplace Bronze plans provide preventive care and limited options before you reach your deductible, but provide coverage when you need it.

We also allow you to pair a Health Savings Account (HSA) with your Bronze Plan. See the HMO Bronze HSA Eligible Plan option for details.

For benefit comparisons, formulary information, and plan document details, click here. Or, call us at 866-522-2515 to learn more.

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    Health and Wellness Benefits

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Scott and White Health Plan offers a variety of programming designed to meet your health and wellness needs regardless of where you may be on the continuum of care. Providing a comprehensive suite of effective resources and tools, we provide a tailored experience built on the demands of our members. We strive to continuously provide the right care, in the right place, at the right time. It is our mission to promote a healthy lifestyle and empower our members to become an active participant of their healthcare team.

Nurse Advice Line
Nurses are available to our members 24 hours a day, 365 days a year. Our nurses provide information about taking care of yourself at home or they can help you decide if an appointment, an urgent care visit, or an emergency room visit is best for your symptoms. To locate your appropriate Nurse Advice Line phone number, please log into the Member Portal.

Wellbeing Assessment
The Wellbeing Assessment is a simple, digital health survey that helps you take steps toward a more vibrant and healthier life. The Wellbeing Assessment asks questions about your life and delivers customized action steps from our Lifestyle Management Program. Modules are self-paced, available online, and convenient for promoting physical and mental health, all things to help you feel your best.

Digital Health Coaching
In addition to the wellness assessment, our digital wellness platform offers: Digital Health Coaching—6-week coaching modules with action plans, important articles, online seminars and video content on topics that include:

  • Live Tobacco Free
  • Healthy Weight
  • Less Stress
  • Healthier Diet
  • Active Living

Progress Tracker
The digital platform has a dashboard to help you keep track of important health information like A1C, weight/ BMI, cholesterol, blood pressure and physical activity. These biometric measurements can be charted over time to monitor your long-term health.

Fitness Tracker Integration
Synchronize your personal fitness tracker with the wellness platform to monitor your physical activity progress on the dashboard.

Digital Health Library
Access to articles, videos, recipes and other content to support a healthier life. You can search for condition-specific information or explore highlighted topics.

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    Expecting the Best® Maternity Program

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Scott and White Health Plan is pleased to offer Expecting the Best® for our members. This program is focused on helping mothers enjoy a healthy pregnancy. Expecting the Best® members will receive helpful tips and assistance during pregnancy and for one year after birth.

Pregnancy/Delivery

  • Planning for delivery, including individual support during and after a pregnancy
  • Access to a nurse 24 hours a day, seven days a week
  • Coordinated efforts to promote full-term birth in women who previously delivered pre-term
  • In-home support for high-risk conditions such as diabetes, hypertension and severe nausea
  • Early enrollment in case management support program

Postpartum

  • Depression screening following delivery, including postpartum resources
  • Parental education for newborn health during the first year
  • Immunization reminders
  • Planning for returning to work

View Informational Flyer

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    Telehealth

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We're making it easy for you to get the care you need when you need it

  • For an eVisit or to schedule a same-day video visit, log in to MyBSWHealth.com, or download the MyBSWHealth app.
  • Coming Soon: 24/7 Telephonic or video visits through MDLIVE. Call 800-718-5082, or download the MDLIVE app.
  • View Informational Flyer

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    Quick Links


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    Member Portal

    Print your ID card. View copays, deductibles and claims.
    Create an Account

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    • View Printable Plan documents in PDF format. (May require free Adobe Acrobat Reader to view documents.)
    • To save a PDF document to your device, select "Save As" from your web browser's options.